OBJECTIVE: To determine fetomaternal outcome in women presenting with abruptio placentae
at our setup.
DESIGN: A descriptive study.
SETTING: Department of Obstetrics and Gynecology Unit-II, Liaquat University Hospital Hyderabad,
Sindh – Pakistan. Study was carried out from January to December 2007.
METHODS: All patients presenting with antepartum hemorrhage due to abruptio placentae at
any gestational age after 28 weeks to term were included in the study. Women having bleeding
due to causes other than abruption like placenta previa, vasa previa, carcinoma cervix and
other local lesions were excluded. All the data collected through history, examination and investigations
were recorded on a predesigned proforma. Data were analyzed using SPSS version
RESULTS: Total number of cases admitted in labour ward was 2563. Forty-eight (1.87%) women
had abruptio placentae. Maternal complications were postpartum hemorrhage (16.6%), disseminated
intravascular coagulation (4.16%) and renal failure (6.25%). Maternal death occurred in 4
women (8.33%). Adverse fetal outcome was noted in severe cases of abruption. Still birth occurred
in 41.6% cases.
CONCLUSION: In our setup, frequency of abruptio placenta is comparable with local and international
literature. Incidence of abruptio placenta is high in our women as most of the women
belong to poor socio-economic class. Antenatal care plays an important role in decreasing the
incidence of abruptio placenta.
Pregnancy. Abruption. Fetomaternal outcome. Morbidity. Mortality.